Apply for Future Shapers

Please complete the application form and we will contact you about your eligibility and involvement in the Future Shapers Program 2019.

The Future Shapers intensive workshop commences on 3 September 2019 in Canberra. You must be available to attend this workshop. Your program fee must be received by 31 July 2019 to participate in the Future Shapers.

Future Shapers Application

Application form for participation in Future Shapers Program 2018

Your name * Required

Your email address * Required

Your phone number * Required

We mainly use email or zoom, but need a phone number in case you are unable to be contacted. Don't forget country & area code.

8+1 = * Required

So we know you aren't a robot

I am a person with disability * Required

No

Yes

What country, state, and town do you live in? * Required

I can attend the 3 day workshop: * Required

commencing on 3 September in Canberra

My key achievement is: * Required

please keep to a short paragraph.

Why do you describe yourself as a leader? * Required

Are you a change maker? * Required

How have you achieved change? Did you work alone or with others? What strategies did you use?

What are your leadership goals or outcomes? * Required

What would you like to achieve in the next 3 years?

Why do you want to become a Future Shaper?

short paragraph on why this is the right opportunity for you.

Your commitment * Required

Please agree to the following:

I understand that this is a rigorous 12 month program. I commit to doing all elements of the program. I can attend the intensive workshop in Canberra in September 2019.* I will do all reading and homework

Sponsorship / funding * Required

The Future Shapers is a comprehensive program valued at $12,000 AUD.
Please note you are responsible for ensuring that your travel and accommodation costs and program fee will be covered. The DLI is unable to assist you with covering the costs of the program.
We strongly encourage you to seek funding support from your employer or government.
Please indicate how you will fund your participation.

I will fund my participation including all personal accomodation, travel and disability costs

I will seek funding support from my employer

I will seek funding support from my government

Other Other

*Accessibility requirements

Please note: your disability access requirements should not prevent you from applying. Please contact us if you have any questions.
We recognise that some people are unable to travel due to their disability and we are committed to ensuring that you can still participate in the Future Shapers. Please contact us to discuss.